Organization Active NPI

Health Depot Pharmacies, LLC

  • Community/Retail Pharmacy
  • Barling, AR
National Provider Identifier
1730198110
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR20079 Issued in AR
Legal business name
HEALTH DEPOT PHARMACIES, LLC
Practice address
1610 Fort Street
Barling, AR 72923
Phone
(479) 452-1237
Fax
(479) 452-7953
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Henry Hall, RPH
Title
President
Phone
(479) 646-7875

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X AR20079 AR Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1610 Fort Street
Barling, AR 72923

Mailing address

7700 Hwy 271 S
Fort Smith, AR 72908-8028
Phone (479) 646-7875

Other identifiers 2

IdentifierTypeStateIssuer
221375407MedicaidAR
1992738OtherPK

Other names 1

  • THE HEALTH DEPOT Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1610 Fort St
Barling, AR 72923
Phone (479) 452-1237

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1730198110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 HWY 271 S",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088028",
            "telephone_number": "479-646-7875",
            "fax_number": "479-646-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 FORT STREET",
            "city": "BARLING",
            "state": "AR",
            "postal_code": "72923",
            "telephone_number": "479-452-1237",
            "fax_number": "479-452-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH DEPOT PHARMACIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-646-7875",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20079",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221375407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1992738",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE HEALTH DEPOT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE HEALTH DEPOT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barling, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.